1525 FLORIDA DR 2022-04-15 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ! tCkOCv -OI5 BUILDING PLANNING Intake OK by: ` I Date: /0//f Intake OK by: AilE, Date: (49 / !-3-i /64 Intake Comments: Intake Comments: Assign To: 1.0\/ ❑ Route to Commercial Building ❑Attach to Project No. in Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 14 11 Sr "Hold in Planning File Drawer, arag:/Accessory Struct.Size Sz.$ SA Zone P--- I Number of Stories Z Overlay/Agreement Basement LX1No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 76 Residential Use SF-12- Occupancy Group -/1A Proposed No. of Dwelling Units: I Occupancy Load Total No.of Dwelling Units: ) Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑YeZ-041Q Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System ONot Req'd School Impact Fee: Total $ (if, Z.S�eo Reason Fire Alarm Required: Calculated: /'�SFR(I�,2. Credit: t 4f Z —sn' RCW 64.55 MF worksheet req'd for permit? ❑Yes R No Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑ r Yes lolNo Additional Notes: r, _ c ,d.\:,,„ VALUATION CALCULATION: Total$ I CL g, I Z` c d.r[ 'cD)r pr v ".-Q0 emO ('( (1 @ III z ►`tt, LiS7 52B @ l$ = 2.5,31Y Approved By: C Date: cd- u (q 4f* 30 = (112.o PUBLIC WORKS Intake OK by;.� S Date: 'kill,0'7 Additional Notes: 10/$' //R C St W,SAC Intake Comments: PW Worksheet Needed if: :I-our `1�10 ►- s Dev Eval g raffic Mit Eval _�,,�• Site Work or Drainage Proposed Approved By: Date:- o -S.12. f t Y fl1"' ❑Backflow Prevention for high hazard: pp - �(��-�- (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: 1Strhis project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm DOther: AND Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ,74 This Permit is Approved by Public Works See PW Review Worksheet and associated attached items Fire Dept. Fees: SI A Separate PW Permit is Required (Permit#: PW I906O50 ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE l Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: AFI-S Date: (lb Zif am 27Z